Spin-Chirality Separation and S_3-Symmetry Breakings in the Magnetization Plateau of the Quantum Spin Tube

We study the magnetization plateau state of the three-leg spin-1/2 tube in the strong rung coupling region, where S_3-symmetry breakings and low-energy chirality degree of freedom play crucial roles. On the basis of the effective chirality model and density matrix renormalization group, we clarify that, as the leg coupling increases, the chirality liquid with gapless non-magnetic excitations, the spin imbalance phase and the vector-spin-chirality ordered phase emerge without closing the plateau spin gap. The relevance of these results to experiments is also discussed.Comment: 6 pages, 6 figures, detailed results of the spin imbalance state are adde

Displacement of fovea toward optic disk after macular hole surgery with internal limiting membrane peeling

PURPOSE:The purpose of this study was to demonstrate a displacement of the foveal depression toward the optic disk after idiopathic macular hole (MH) surgery with internal limiting membrane (ILM) peeling.METHODS:Two patients with a unilateral MH developed an MH in the fellow eyes. Vitrectomy with ILM peeling was performed on the fellow eye to close the MH. Images of spectral-domain optical coherence tomography (SD-OCT) were used to measure the disk-to-fovea distances pre MH formation, after MH formation, and 6 months after the closure of the MH.RESULTS:The disk-to-fovea　distance was shorter at 6 months than after the development of the MH (4,109 µm and 4,174 µm in Case 1 and 4,001 µm and 4,051 µm in Case 2).CONCLUSION:These results indicate that the fovea moves nasally after the MH surgery with ILM peeling

Retinal Angiomatous Proliferation in an Eye with Cuticular Drusen

Purpose: To report the presence of retinal angiomatous proliferation (RAP) in an eye with cuticular drusen detected by fluorescein and indocyanine green angiography by confocal scanning laser ophthalmoscopy and by spectral-domain optical coherence tomography (SD-OCT). Methods: Case report of a 65-year-old Japanese woman with cuticular drusen. Results: At her first ophthalmic examination, her visual acuity was 20/20 in both eyes. An ophthal-moscopy showed many small subretinal pigment epithelial deposits in both eyes. These de-posits had a ‘saw-tooth pattern’ in the SD-OCT images. During the follow-up examination, retinal hemorrhages were observed, and fluorescein angiography showed a ‘stars-in-the-sky’ appearance and intraretinal neovascularization. The patient was diagnosed with cuticular drusen associated with RAP. Conclusion: We suggest that the cuticular drusen were associ-ated with RAP, so periodic follow-up examinations are needed for patients with cuticular drusen for the early detection and treatment of RAP

Transient Increase of Retinal Nerve Fiber Layer Thickness after Vitrectomy with ILM Peeling for Idiopathic Macular Hole

Purpose. The purpose of this study was to determine the long-term changes in the circumpapillary retinal nerve fiber layer (RNFL) thickness following macular hole surgery with internal limiting membrane (ILM) peeling combined with phacoemulsification. Methods. Thirty-eight eyes of 37 patients who had pars plana vitrectomy (n = 36) between 2010 and 2014 were studied. The average thicknesses of the global and the six sectors of the RNFL were determined before and at 1, 3, 6, 12, and 24 (n = 22) months (M) after the surgery by spectral-domain optical coherent tomography. The postoperative mean RNFL thickness at each time was compared to that before the surgery by paired t-tests. Results. The RNFL of the operated eyes was significantly thicker at 1 month (1 M) and 3 M in all but the inferior-nasal sectors. The significant increase remained until 12 M in the superior-temporal and superior-nasal sectors. In addition, the RNFL was also significantly thicker in the temporal-inferior sector at 12 M based on the findings in 38 eyes. Conclusions. The postoperative RNFL was thicker in all but the nasal-inferior sector for at least 12 M after surgery. This prolonged increase of the RNFL thickness may indicate damage and mild edema of the RNFL